Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample

Background: The fifth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy has some limitations. We aimed to assess the centralit...

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Authors: Lucas, Ignacio, Mora Maltas, Bernat, Granero, Roser, Demetrovics, Zsolt, Ciudad-Fernández, Víctor, Nigro, Giovanna, Cosenza, Marina, Rosinska, Magda, Tapia-Martínez, Javier, Fernández Aranda, Fernando, Jiménez-Murcia, Susana
Format: article
Status:Published version
Publication Date:2024
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/216537
Online Access:https://hdl.handle.net/2445/216537
Access Level:Open access
Keyword:Joc compulsiu
Adults
Psicodiagnòstic
Compulsive gambling
Adulthood
Psychodiagnostics
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spelling Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sampleLucas, IgnacioMora Maltas, BernatGranero, RoserDemetrovics, ZsoltCiudad-Fernández, VíctorNigro, GiovannaCosenza, MarinaRosinska, MagdaTapia-Martínez, JavierFernández Aranda, FernandoJiménez-Murcia, SusanaJoc compulsiuAdultsPsicodiagnòsticCompulsive gamblingAdulthoodPsychodiagnosticsBackground: The fifth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy has some limitations. We aimed to assess the centrality of each criterion and its relationship by conducting a network analysis while considering sex differences. Methods: We performed a network analysis with the DSM-5 criteria for GD with data from 4,203 treatment-seeking patients (3,836 men and 367 women) diagnosed with GD who sought for treatment in a general tertiary hospital which has a unit specialized in behavioral addictions. Results: The withdrawal criterion ("Restless or irritable when attempting to cut down or stop gambling") showed the highest centrality values in both sexes. In men, the second most central criterion was the tolerance criterion ("Needs to gamble with increasing amounts of money in order to achieve the desired excitement"); while among women, the second was the chasing losses criterion ("After losing money gambling, often returns another day to get even"). Conclusions: The most central criteria identified are associated with compulsivity-driven behaviors of the addictive process. Taking into account the high relevance and transitive capacity of withdrawal in both men and women, as well as tolerance in men, and chasing losses in women, the recognition and understanding of these symptoms are fundamental for the accurate diagnosis and severity assessment of GD.Cambridge University Press (CUP)2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/216537Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1192/j.eurpsy.2024.22European Psychiatry, 2024, vol. 67, num.1https://doi.org/10.1192/j.eurpsy.2024.22cc-by (c) Lucas, I. et al., 2024http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2165372026-05-27T06:46:51Z
dc.title.none.fl_str_mv Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
title Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
spellingShingle Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
Lucas, Ignacio
Joc compulsiu
Adults
Psicodiagnòstic
Compulsive gambling
Adulthood
Psychodiagnostics
title_short Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
title_full Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
title_fullStr Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
title_full_unstemmed Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
title_sort Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample
dc.creator.none.fl_str_mv Lucas, Ignacio
Mora Maltas, Bernat
Granero, Roser
Demetrovics, Zsolt
Ciudad-Fernández, Víctor
Nigro, Giovanna
Cosenza, Marina
Rosinska, Magda
Tapia-Martínez, Javier
Fernández Aranda, Fernando
Jiménez-Murcia, Susana
author Lucas, Ignacio
author_facet Lucas, Ignacio
Mora Maltas, Bernat
Granero, Roser
Demetrovics, Zsolt
Ciudad-Fernández, Víctor
Nigro, Giovanna
Cosenza, Marina
Rosinska, Magda
Tapia-Martínez, Javier
Fernández Aranda, Fernando
Jiménez-Murcia, Susana
author_role author
author2 Mora Maltas, Bernat
Granero, Roser
Demetrovics, Zsolt
Ciudad-Fernández, Víctor
Nigro, Giovanna
Cosenza, Marina
Rosinska, Magda
Tapia-Martínez, Javier
Fernández Aranda, Fernando
Jiménez-Murcia, Susana
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Joc compulsiu
Adults
Psicodiagnòstic
Compulsive gambling
Adulthood
Psychodiagnostics
topic Joc compulsiu
Adults
Psicodiagnòstic
Compulsive gambling
Adulthood
Psychodiagnostics
description Background: The fifth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy has some limitations. We aimed to assess the centrality of each criterion and its relationship by conducting a network analysis while considering sex differences. Methods: We performed a network analysis with the DSM-5 criteria for GD with data from 4,203 treatment-seeking patients (3,836 men and 367 women) diagnosed with GD who sought for treatment in a general tertiary hospital which has a unit specialized in behavioral addictions. Results: The withdrawal criterion ("Restless or irritable when attempting to cut down or stop gambling") showed the highest centrality values in both sexes. In men, the second most central criterion was the tolerance criterion ("Needs to gamble with increasing amounts of money in order to achieve the desired excitement"); while among women, the second was the chasing losses criterion ("After losing money gambling, often returns another day to get even"). Conclusions: The most central criteria identified are associated with compulsivity-driven behaviors of the addictive process. Taking into account the high relevance and transitive capacity of withdrawal in both men and women, as well as tolerance in men, and chasing losses in women, the recognition and understanding of these symptoms are fundamental for the accurate diagnosis and severity assessment of GD.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/216537
url https://hdl.handle.net/2445/216537
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1192/j.eurpsy.2024.22
European Psychiatry, 2024, vol. 67, num.1
https://doi.org/10.1192/j.eurpsy.2024.22
dc.rights.none.fl_str_mv cc-by (c) Lucas, I. et al., 2024
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Lucas, I. et al., 2024
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press (CUP)
publisher.none.fl_str_mv Cambridge University Press (CUP)
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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